| NPI | 1639566409 |
|---|---|
| Doing Business As | AWA: ADOLESCENT WELLNESS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN JOHNSON Admin 561-816-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-08-12 |